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I was very apprehensive and nervous to have a procedure done on my hand

Initial side effectsnausea, mild fatigue, or injection site reactionsusually diminish within days to weeks as your body adapts

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It is also possible that in active acromegaly, chronic exposure to elevated IGF-I levels resets IGF-IR responsiveness via the induction of IGF-IR resistance (70), as it has been demonstrated that prolonged stimulation with IGF-I induces functional IGF-IR resistance in vitro through the negative feedback loop (72)

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For sublingual troches, this is particularly problematic because absorbed moisture can initiate the dissolution process prematurely, causing the troche to become sticky, soft, or crumbly before use